Provider Demographics
NPI:1093264624
Name:JARRAR, ADA (LMSW)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:
Last Name:JARRAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-1135
Mailing Address - Country:US
Mailing Address - Phone:816-508-3400
Mailing Address - Fax:816-508-3425
Practice Address - Street 1:9700 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-1135
Practice Address - Country:US
Practice Address - Phone:816-508-3400
Practice Address - Fax:816-508-3425
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10148101YP2500X
MO2016032642104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional